NPI 1053784595

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Organisation General Practice Dentistry Williston, VT

Practice location

Address: 25 Bishop Ave, Williston, VT 05495-7871
Phone: (820) 878-1170
Fax: (802) 872-7139
Mailing address: 25 Bishop Ave P.O. Box 1277, Williston, VT 05495-7871

Authorised official

Name: Roni Golden
Title: President
Phone: (802) 878-1170

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 016.0088849 (VT)

Other Dentist providers in Vermont →

Registry record

NPI: 1053784595
Entity type: Organization
NPI issued: 5 Nov 2015
Record last updated: 5 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.